Madeleine Saxe, LMFT - Therapist in California

About Madeleine

Madeleine Saxe is a licensed marriage and family therapist who helps people cope with stress, anxiety, addictions, relationship struggles, eating concerns, and parenting challenges. She brings a direct and compassionate style to sessions and focuses on clear communication and practical steps. Madeleine speaks plainly and aims to make therapy feel manageable for people juggling busy lives.

She uses straightforward conversation to identify what matters most and to set small, achievable goals.

Background and approach

In session she combines client-centered listening with techniques from cognitive behavioral therapy and dialectical behavior therapy when needed. Mindfulness and motivational interviewing are woven in to help clients notice unhelpful patterns and find internal motivation for change. Madeleine has 12 years of clinical experience in California as an LMFT - Licensed Marriage and Family Therapist.

That background informs her focus on family dynamics, blended family issues, and caregiver stress without assuming one-size-fits-all solutions. She pays attention to how relationships, life transitions, and parenting demands affect daily functioning. Practical tools are a regular part of her work.

Clients can expect skills for managing anxiety, clearer ways to communicate, and steps to address eating or substance concerns. Madeleine also supports people through fertility, pregnancy, and postpartum-related emotions as part of broader life changes. Her approach is collaborative and goal-oriented.

She works with each person to build habits and strategies that fit their routine and values, helping them move from feeling stuck toward clearer next steps.

How therapeutic approaches shape online care

Client-centered therapy focuses on listening and understanding the person without judgment. It helps people feel heard and clarifies what they want to change by following their priorities. Cognitive behavioral therapy, or CBT, looks at how thoughts and behaviors interact and teaches practical skills to reduce anxiety, manage cravings, and shift unhelpful patterns.

Finding the right approach is part of the work. Madeleine collaborates with clients to decide which methods fit best for their needs, goals, and personal preferences. She may combine listening-based client-centered work with CBT skills or DBT techniques when emotional regulation or intense stress is present.

Online therapy offers flexibility for busy lives. Sessions can happen by video calls or phone, and shorter check-ins work through live chat or text-based messaging. These options let clients use therapy around parenting, work schedules, and medical appointments while keeping steady progress and skill practice between longer sessions.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What issues does Madeleine commonly address?

She works with stress, anxiety, addictions, relationship problems, eating and parenting concerns, plus related areas like body image and postpartum emotions.

How would you describe her therapy style?

Her style is direct and compassionate, with practical conversations that aim to set small, achievable goals and improve day-to-day functioning.

What level of experience does the therapist have?

Madeleine has 12 years of clinical experience working as a therapist in California.

What are her credentials and where is she located?

She is an LMFT - Licensed Marriage and Family Therapist, licensed in California as CA LMFT 105004, and practices in California.

Can sessions be conducted in other languages or with international clients?

Sessions are offered in English and she is not accepting international clients at this time.

Which session formats are available?

She offers video calls, phone sessions, live chat, and text-based messaging to fit different preferences.

How are costs and payments handled?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

What should I do to begin therapy?

Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Addictions
Relationship issues

Also works with

Therapeutic approaches

Experience: 12 years
Licensed: California
Languages: English

Next step

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